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Heart Disease and Stroke: Rates, Disparities, and Risk Factors

This review examines the progress of Heart Disease and Stroke prevention and control, focusing on knowledge, disparities, risk factors, and mortality rates. It also discusses the target goals for 2010 and provides data on death rates from 1980 to 2000.

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Heart Disease and Stroke: Rates, Disparities, and Risk Factors

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  1. Healthy People 2010 Focus Area 12: Heart Disease and Stroke Progress Review – April 23, 2003

  2. Heart Disease and Stroke Chapter Framework • Knowledge • Disparities • Race / ethnicity • Gender • Age • Geographic location • Socioeconomic factors • Health status / behaviors • Risk factors • Early intervention • Mortality • Trends

  3. Coronary Heart Disease and Stroke Death Rates, 1980-2000 Age-adjusted rate per 100,000 Coronary Heart Disease 1980 1985 1990 1995 2000

  4. Coronary Heart Disease and Stroke Death Rates, 1980-2000 Age-adjusted rate per 100,000 Coronary Heart Disease Stroke 1980 1985 1990 1995 2000

  5. Coronary Heart Disease and Stroke Death Rates, 1980-2000 Age-adjusted rate per 100,000 Coronary Heart Disease CHD 2010 target Stroke Stroke 2010 target 1980 1985 1990 1995 2000

  6. Coronary Heart Disease Death Rates, 2000 Age-adjusted rate per 100,000 2010 target Female Male Total Hispanic Black, Not Hispanic White, Not Hispanic Asian or Pacific Islander American Indian or Alaska Native

  7. Coronary Heart Disease Death Rates, 2000Relative Risk Relative risk compared to the total population Greater Risk Black, Not Hispanic Male White, Not Hispanic Female Hispanic American Indian or Alaska Native Less Risk Asian or Pacific Islander

  8. Coronary Heart Disease Deaths by Health Service Area, 1996-98

  9. Stroke Death Rates, 2000 Age-adjusted rate per 100,000 2010 target Male Female Total Hispanic Black, Not Hispanic White, Not Hispanic Asian or Pacific Islander American Indian or Alaska Native

  10. Smoothed County Stroke Death Rates:Adults 35 and Older, 1991-98

  11. 2010 target Adults Obesity Current smoker Moderate activity CVD Risk Factors Baseline Most recent Age-adjusted percent Percent Adolescents 50 40 30 20 10 0 Overweight Current smoker Moderate activity

  12. Female Male Female Male Female Male Female Male Serum Cholesterol Levels > 240 mg/dL, Adults 20 and Older 1988-94 1999-2000 Age-adjusted percent 2010 target Mexican American Black, Not Hispanic White, Not Hispanic Total

  13. Mexican American Black, Not Hispanic White, Not Hispanic Less than high school High school graduate At least some college Total 20 years and older 25 years and older Hypertension Prevalence in Adults, 1999-2000 Age-adjusted percent 2010 target

  14. 90 80 70 60 50 40 30 20 10 0 Total Total Hispanic Hispanic White, Not Hispanic White, Not Hispanic Black, Not Hispanic Black, Not Hispanic Asian or Pacific Islander Asian or Pacific Islander American Indian or Alaska Native American Indian or Alaska Native CVD Knowledge: Adults 20 and Older, 2001 Age-adjusted percent Heart attack knowledge (including 911) Stroke knowledge

  15. 883 724 29% 21% Projected Increase in Total Heart Disease Deaths Related to Increased Diabetes Prevalence Heart Disease Deaths (thousands) Proportion due to diabetes

  16. Developmental Objectives • 12-3: Artery-opening therapy • 12-5: Out of hospital emergency care • 12-16: LDL-cholesterol level in CHD patients

  17. Progress review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm

  18. Obesity in Adults 20 and Older Age-adjusted percent 1988-94 1999-2000 2010 target Total Mexican American Black, Not Hispanic White, Not Hispanic

  19. 2003 NHIS Planned Updates • 12-11: Action to help control blood pressure • 12-12: Blood pressure monitoring • 12-15: Blood cholesterol screening (Data available in 2004)

  20. Coronary Heart Disease and Stroke Death Rates, 1980-2000 Age-adjusted rate per 100,000 Coronary Heart Disease CHD 2010 target Stroke Stroke 2010 target 1980 1985 1990 1995 2000

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